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Revenues (Disaggregated Revenues) (Details) - USD ($) $ in Thousands	3 Months Ended
	Mar. 31, 2020	Mar. 31, 2019
Disaggregation of Revenue [Line Items]
Net Sales	$ 214,010	$ 218,378
Goods transferred at a point in time
Disaggregation of Revenue [Line Items]
Net Sales	204,454	209,164
Services transferred over time
Disaggregation of Revenue [Line Items]
Net Sales	9,556	9,214
Orthopedic Surgery
Disaggregation of Revenue [Line Items]
Net Sales	99,283	113,437
Orthopedic Surgery | Goods transferred at a point in time
Disaggregation of Revenue [Line Items]
Net Sales	90,553	104,739
Orthopedic Surgery | Services transferred over time
Disaggregation of Revenue [Line Items]
Net Sales	8,730	8,698
General Surgery
Disaggregation of Revenue [Line Items]
Net Sales	114,727	104,941
General Surgery | Goods transferred at a point in time
Disaggregation of Revenue [Line Items]
Net Sales	113,901	104,425
General Surgery | Services transferred over time
Disaggregation of Revenue [Line Items]
Net Sales	826	516
United States
Disaggregation of Revenue [Line Items]
Net Sales	118,847	117,026
United States | Orthopedic Surgery
Disaggregation of Revenue [Line Items]
Net Sales	37,039	45,256
United States | General Surgery
Disaggregation of Revenue [Line Items]
Net Sales	81,808	71,770
Americas (excluding the United States)
Disaggregation of Revenue [Line Items]
Net Sales	23,781	22,504
Americas (excluding the United States) | Orthopedic Surgery
Disaggregation of Revenue [Line Items]
Net Sales	15,802	15,042
Americas (excluding the United States) | General Surgery
Disaggregation of Revenue [Line Items]
Net Sales	7,979	7,462
Europe, Middle East & Africa
Disaggregation of Revenue [Line Items]
Net Sales	42,522	46,332
Europe, Middle East & Africa | Orthopedic Surgery
Disaggregation of Revenue [Line Items]
Net Sales	25,907	30,402
Europe, Middle East & Africa | General Surgery
Disaggregation of Revenue [Line Items]
Net Sales	16,615	15,930
Asia Pacific
Disaggregation of Revenue [Line Items]
Net Sales	28,860	32,516
Asia Pacific | Orthopedic Surgery
Disaggregation of Revenue [Line Items]
Net Sales	20,535	22,737
Asia Pacific | General Surgery
Disaggregation of Revenue [Line Items]
Net Sales	$ 8,325	$ 9,779

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+ References

Reference 1: http://www.xbrl.org/2003/role/disclosureRef
-Publisher FASB
-Name Accounting Standards Codification
-Topic 606
-SubTopic 10
-Section 50
-Paragraph 4
-Subparagraph (a)
-URI http://asc.fasb.org/extlink&oid=118956577&loc=SL49130543-203045

Reference 2: http://www.xbrl.org/2003/role/disclosureRef
-Publisher FASB
-Name Accounting Standards Codification
-Topic 606
-SubTopic 10
-Section 50
-Paragraph 5
-URI http://asc.fasb.org/extlink&oid=118956577&loc=SL49130545-203045

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